Dr. Paul R. Gordon
Pediatric Hematology-Oncologist
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando,
Orlando
, Florida 32806-2946
Dr. Paul R. Gordon
Pediatric Hematology-Oncologist
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando,
Orlando
, Florida 32806-2946
(302) 651-4945
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Paul R. Gordon
- Po Box 191 Provider Enrollment Department,
- Rockland, DE
- Zip : 19732-0191
- Fax : (302) 651-4945
- Phone : (302) 651-6718
Second Address
- Dr. Paul R. Gordon
- 1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando,
- Orlando, FL
- Zip : 32806-2946
- Fax : (407) 567-5924
- Phone : (407) 650-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | ME88011 | FL |
National Provider Identifier
| NPI | 1275560831 |
|---|---|
| Provider Name | Dr. Paul R. Gordon |
| First Address | Rockland, DE 19732-0191 |
| Second Address | Orlando, FL 32806-2946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 17/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 267783100 | (05) | FL |
| 2677831-00 | (05) | FL |
| 81550 | (02) | FL |
| H97163 | (02) | FL |
| H97169 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.